The research and examples of risky, unrealistic self-confidence of 20 and 30 somethings – raised in an "everybody wins" environment – resonated with my recent experience teaching emergency service providers.

Not only do they not know what they do not know (unconscious incompetence), they reject feedback. Working at the university saw many college students move from hard majors, requiring math and science, into easier majors. In some cases they graduated high school with inadequate preparation for math, science or writing,

Malcom Gladwell's description of the 10,000 hour rule in Outliers (2008) has provided one explaination of how to move from unconscious incompetence to unsconscious competence . Cribbing from Wikipedia:

A common theme that appears throughout Outliers is the "10,000-Hour Rule", based on a study by Anders Ericsson. Gladwell claims that greatness requires enormous time, using the source of The Beatles' musical talents and Gates' computer savvy as examples.The Beatles performed live in Hamburg, Germany over 1,200 times from 1960 to 1964, amassing more than 10,000 hours of playing time, therefore meeting the 10,000-Hour Rule. Gladwell asserts that all of the time The Beatles spent performing shaped their talent, and quotes Beatles' biographer Philip Norman as saying, "So by the time they returned to England from Hamburg, Germany, 'they sounded like no one else. It was the making of them.'"Gates met the 10,000-Hour Rule when he gained access to a high school computer in 1968 at the age of 13, and spent 10,000 hours programming on it.

Does high self-esteem hinder organizational development?

Last year we ramped up the discussion of EMS as a profession. This included three articles during EMS Week when we compared the 40 year progression of emergency physicians and nurses with ems providers:

For emergency physicians and registered nurses, developing their professions seemed to be in response to the low esteem, pay and power they had in the 1960's. It took two formal attempts over 25 years for physicians to get EMS recognized as an emergency medicine board subspecialty.

At the end of 2012 Justin Schorr reflected on the impact of EMS 2.0, a concept he developed three years ago with Chris Kaiser: The Hour is Late.

Do we feel too good about ourselves to dig-in and build EMS as our physician and nurse colleagues have?